Permit Roof 1921 Seminole Rd 2012 µt , CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001829 Date 12/18/12
Property Address . . . . . . 1921 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7200
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Application desc
reroof
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Owner Contractor
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JONES, RAYMOND E. REESE' S ROOFING
1921 SEMINOLE ROAD 1324 CORMORANT COURT
ATLANTIC BEACH FL 32233 ST JOHNS FL 32259
(904) 772-7663
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7200
Expiration Date . . 6/16/13
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Special Notes and Comments
need noc
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 �}
a � Permit Number: / 2
Job Address: \0\ �h�Q— t
Legal Description Parcel#
Floor Area o q. t. q. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialesidentia
If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A
Florida Product Approval# Y N� 0
For multiple products use ppr duct aper orm
Describe in detail the type of work to be performed: RC>
Property Owner Information:
Name. '�. -`FJwz- Address: �°1�.� - - C\
City '. State Zip�'xj' Phone
E-Mail or Fax#(Optional)
Contractor Information: (�
Company Name: R� "SQualif�yiiig Agent:
Address: s City Jam, <� State Zip 33
Office Phone o Z�• 7 Job Site/Contact Number l `��1�1�2 11��p� Fax#
State Certificatio egistration# C-<-C- -
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and workiscommenced.if work is
otcommenced within six I understand that separate permits mor ut be secuconstrucred for Electrical Work,Plumbing, Sigon or work is suspended or ns,aWells,Poeriod olsx urnacesmontls at,Boilers,tame after
Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFR ENTE RECORDING YOUR NOTICE OF
I hereb certify that 1 have read and examined this lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o10/1 rk wall be complied with whether sppe ae erein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,state, or local la regu ting construction or the performance of construction.
Signature of Owner Signature of Contractor �C`-��� `Q q I °_
Print Name 't 4&0.....1=.............. .... -n............. Print Name c� W......... e,. .:�................................................_
Before me Before me 20
�'a-�, '2
this } Day of G 20 this J&N-,.Day of
c-'"^° gar � C'�� ♦��,?
Notary Public * * C ISSION t EE 010943 Notary ub is * * EXPIRES:March 7,2015
1p, EXPIRES:March 1,2015 �r9rFOFF�OQ�e Cdr"' ".°24.12
q�OF Fl�`�\v Banded Thru Budget NoIM Ser**
DEC-18-2012 15:07 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No_
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved:
r
General description of improvements: 4;1 11\1\�"'Xl
Owner
Address
Owner's interest in site of the improvement --
Fee Simple Titleholder(if other than owner)
Name
Address - --
Contractor
Address
Phone No. __ _ _ Fax No.
Surety(if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any ' rson making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. __ Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2)(b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a